Jeffrey Stanton

NPI #1205386976 in Logansport, Indiana

Provider Information

NPI Number: 1205386976
Entity Type: Individual
Name: Jeffrey Stanton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 6, 2016
Last Updated: Oct 6, 2016

Practice Location

Address: 7590 W RIDGEVIEW PL
City: Logansport
State: Indiana
ZIP Code: 46947-8261
Phone: (574) 721-7624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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